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HomeMy WebLinkAboutPermit Electrical 2001-12-20 , c' . -- r,-"225 FIFTH STREET i', '",). ii" t' ~" "'lt~" th foJioWI"9 ELECllUCALoPERMIT APPLICATION 'c< ;:,,' /,,' G' D o' ;.:;r~;,(~''lWI~1-l1'';) eo ~s.$~tirnI "''f"as e " .~~> -, - -" ,'. ;.t"'~it_1 ~~ '~:; ~I' I, I ",SPRIJ'! FIE;~ I' ~G11n\ -M.,.doi>s not',e9u!J'e,;'pe'ciflc land'usp ;;~"' ,'. 0 f" 0' \'i~,",~< "~~fl ' " f'" ," INSPECTION REQU?P' "a126;3769 :;, f" ..-'! : Clt) Joh Number - ,/7.i."Tr,,'?,. -:~ . ~ ~ ~ I -O'FF-ICE 7'2637'9 ~~...,- .....,J ;J..""f'~"J~"'r~~ r I l; 'A \ 1<... ""''' ...",.c f; ',,' ., ('" ',:i' t ,--, .~ '~\~ ~" Z9,:ln( ; ,"D( : ;~' 3 COMPLETEFi~'SCI.~~'ui:E'!3E~O~ :~1tr'S,~: 1:"~(" '" ~ ~~<"'11 h) \ " .., r.. 'j -..L.I/'''r- r' 1 ,'" ~ ~ 1 ~tl. ,r ~ \.' /- , I LOCATIONOF ';lALLAhUj~ {jY.oPltA1'. - I 1 y..-' I, "0" j ,.; "- 1 8 r5 P~6heeFutP.RwW Sj,ynature . .1------J:\ L" L;ffienll.,I-Smgld or '.!:. - ,. , /70326 2.3. 02'10{ Mulll-Fdmlly per d\\ellmgumt LEGAL DESCRIPTION ServIce Included .' .' . Branch Cl rCUl t", Items Cost S~m' ~. -'A: Slgn,\t~l1c of SupenIsmg Electnclan ~ ~:~~~;:~~?~ ~1id~"~ l~ :~-~~~J_::~_'" ~~'-- r~',;:").,:..~ ~~''-", w"'-l:ll>_0>" '"I ?I L ~. v> ~ - . f""""'~" '-../- r ,,::-~ t'" -; / t" ,1.:. ~ ~ ~,.... ~ :~'.>- ,O,,~c~rNa~e W/WOtlJiSi~4 )'''' .. ~..,1t u~, -r'__;:',b'\";l "'~... -4..~ t .; "~-11~~~,{,,)1:,~~~-,,--.~ j...,1.1<;,..1.':: ~....{,~\ < '.'.JJ'i";~' '1 i "'4 ... ;';,\ ~ "''''", t:;Jy-~ ~""<!;'~r,? "'~:::r y;. \ . t'"'D ,-' : ,_ Address>, S,v - " ,1 t>-I'l.-"-..M ~ ;~ ::~-('T_~', ~-.",...: -~.....;.~;;et,.....".. "'~"~"',~ i _ , '; ': Clt, -;; 6::~~&Ph~ne'" L( gs -Z]f2 \ _..~ ~ ..,.-... . -~, ..- ,~" ~l < ~ ' ;;\1)0 ~ -4" "" ~ ,~ 4/,-4-"'~"" ~ ,,~<:"1"~ _ ::: '. .'- ~ 'O\VNERINSTM,LATION'~" '- - '" - 1 t _ ~ ~ : , The InstallatIOn IS beIng made on . -, -~ ~ properly I own w!uch IS not mtended .-" " -... ~ .. for sale, ~ lease or rent ~ t- '~!~...." ~, "U I , r 7~ ~ , :-.... (~ --"'-':' "" ,. ~'" ~, .. ~,...~. -t"~...~ ~'<",- ~ \ ~ ~ ,~..;:--~ '\ ~')... .. "'} 0", nt..n SIgnature ~ ~ ~ , I .... ~...~: ~...., ~ ~ .', ~ ~- ~.:;; ~ , '_ t ~~ ,tt". _, 1'"_ 1 I " .;- < ~ ~ -:f. J"" ,~~ ,.~.......,.~::;:. \ -;.'" ,t 790: ttilHSliB ~ '- ~" , + ~ - .--. 39NIir'7 - -" ,I ;;, --"~ \ .- '"1"~ ~ ," ':,' .I. ~.. .\.," ",-t"..-'" ~ ~ 1/7>,." '~;. ~~._\ 08' 1 c;-' <!!.- )' 'f\r;....cl 1l.!k"',~' -.' ,~. - ',.... ,,':' ,( LJ..;j..3t-~.]-"-l-,J<...>-"'" .J.;f',\i. i..... '" ... ~-" .,...., \ .. '007 :' "'":l't' J.l'"C!:-.- - ~ < .'~;' -;;. \ II ,-,r ~\3. ':'1 v .. ~ ... ~~.. Qrrl """ -" <fD if.!';" ~ ";, ~, ' . 't':l ,Ll(1.U.... ~v:.; t~l'iv...-j.d..-.! ~r- ~. ~ '-- ''"l''~ . ~ "l -r {.~ ",. ,,' ./- -::: ~J'~~ ~~n;'->w1~ _( :- ,~~~ ;," , '" '... 7 --><'{ c , , ' 'J '-\~ , ~, f~ ~ I , , , ~ I:",. - )~ I , ,<: ,~ t , . ~ ~'";," t " ,. , , ... (.... I T- \ .. ~ :~ " JOB DESCRIPTION Alter Clrr111tc:. 1000 sq ft or less Each dddlllOnaI 500 sq ft or portlon thereof Edch Manufd Home or Modular Dwellmg ServIce or Feeder $ 50 00 ~t- $10600 ~ $ 1900 Pernllls arc non-trdnsferclble and e\.pIre If \\ ork IS not started wIOun 180 dm s of Issuance or If\\ork IS suspended for 180 days 2 CONTRACTOR INSTALLATION Ol\'LY , , B Scnlcc'\ 01 Feeuers In It.Ill.ltlOn, AlteratIons or RLloc,ltlOn , - -" c _ J ,~ Electncal Contractor Tile Mllr9hy ..1-;;- _: I C9mpany Address PO Box, 7632 ,:" Hrlrr~s , , - " ~':I <; ...:......:.... $ 63 00 ," - ,-- $ 75 00 " ," '--,$12500 $16300 ~ $375 00 $ 50 00 /' . r , 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps 0\ er 1000 amps!, olts I Reconnect Only '.. ,- t .. / CIty Euqene -. Phonc('i41'') 7<h_1292 " , , ,{ Supervisor LI~e~e'Nl1mber 4664& E,plfalI~n Date' f 0 / 0 1 /03' , '. ,~~ ''^ , ~ , xi; f:-J : ~ Constr Cantr Number 20 - 4 7 4 C "-----.. r _ - E\plratlOn Date 1070:':/0'2:': C Tempor,lI~ Senlees or Feedu; Install.thon, Altel atIOn or RelocatIOn , ' ~'::c .... , ~~.; ',"t-,,~ ~_ -l ,. i... "^ J>:: ;s_"""'" ",," ~-.. :; 200 amps or le~s - ~~ \ r" ,~1!': $5000 201 amps to 400 amps ,;"\.: ".:" ,,'2: '$69 00 '--'---._0\-';-r40It0600amps' ',- -$iOOOO O,e-;:1;OO amps or 1000'volts se~ ;:-J;" " -:.,.~<;-- "B" abo 'e --~":"'~,-.>' ~- ':tt'/ tr ~~t..- \ _.... "" "~ r' :l'<\<~ I'. ,\"1" "",' ... ~ f."" ~ ~" J \ .",, y uZ"" "'~+,.. .f' ~..;;'t "}f~. .,,', ",- , ~~< ~-* '.... ~~ D Branch CIrcUIts ....;""1. ~~;fh.J-. '.- I ..... p"",~ '" t'''' Nc\\ 'fUterauon or ~~1enslOn Per Pa4el:~:t-~",:"~1 ~~~_~ ~ 1': ~ ;t. ~" ''''~~,,<~- ,.;"''&r.....t\\ 'I. l.f~ ;' e:J,\ '\;i~~'r","\i'{s.\;;;rq"', One ~1fCUlt f (- ( ~ -t.. ;;i~$43 00 ~-=-- J...t- ,-.. :....~ J.i,.--<.~,I_"~.. t I 4 J ~ ,,-- "r \csZ(;,-J.ff')', ~_ ~~ t t<, ~ ,.:1,,-"* .. .l" ~ Each Adcl1llOnal CIrcUIt or With ServIce " _'., d " ' 3 -is <l i~' ,o~ree er P~nnlt ~ ---:::::-=-~. ~~?O ~~:~~ T " ~,~ \ I ~ ~ E l\hscellaneous (Servleelfeeder not mcluded), .' , ' . , -Each IUstallatron ' " \ . Purnp or Imgatr~n - -"$50.00 Slg~OlItlme J-Ightmg -'$50 00 LImIted EnergvlRes '. $25 00 . LI'!"ted Energy/Corum $45 00 ----;: ~- ~ ~ '\ ~r ~ ~, , > "f , .. l\hmmum EleelI Ie Per';ut Inspection Fee " S~5 00 + S"II charge; - 1. '" \, ..~ '": .. ~ , . - < -,- " \ \.'"':;," . 4 SUBTOT~L OF ABOVE 7% State Surcharge " ' 8% AdmmlslI atlve Fee $52.00. <1'4 4 _ 1f) ,I ',' , , $59.80 TOTAL , 1-